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Urinary incontinence as a risk factor for mortality

A R Herzog1, A C Diokno, M B Brown

  • 1Institute for Social Research, University of Michigan, Ann Arbor 48106-1248.

Journal of the American Geriatrics Society
|March 1, 1994
PubMed
Summary

Urinary incontinence does not independently predict mortality in older adults. This 6-year study found no association between incontinence and death, even after adjusting for age, education, and health status.

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Area of Science:

  • Gerontology
  • Epidemiology
  • Urology

Background:

  • Urinary incontinence is a common condition in older adults, often associated with social and personal challenges.
  • The relationship between urinary incontinence and mortality risk in community-dwelling elderly populations requires further investigation.

Purpose of the Study:

  • To investigate the independent association between urinary incontinence and 6-year mortality risk.
  • To determine if incontinence status, severity, or type predicts mortality in older adults.

Main Methods:

  • A 6-year prospective cohort study involving 1956 community-residing individuals aged 60 and older.
  • Urinary incontinence was assessed via self-report, validated by clinical exams. Mortality data was collected through follow-up interviews.
  • Logistic regression analyses were performed, controlling for age, education, and health status.

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Main Results:

  • No statistically significant positive association was found between urinary incontinence and 6-year mortality.
  • Incontinence status, severity, and types were not independent predictors of death in the adjusted models.

Conclusions:

  • Urinary incontinence, while potentially debilitating, does not appear to directly contribute to or predict mortality in older adults.
  • This finding suggests that mortality risk in incontinent elderly individuals is likely influenced by other underlying health conditions rather than incontinence itself.